Japanese

Title	月経随伴症状 - 機能性 (原発性) 月経困難症と月経前症候群 / 月経前不快気分障害 -
Subtitle	特集 : 心身医療を行う上で, 知っておきたい月経関連症状
Authors	江川美保*
Authors (kana)
Organization	*京都大学大学院医学研究科婦人科学産科学
Journal	心身医学
Volume	60
Number	6
Page	515-520
Year/Month	2020 /
Article	報告
Publisher	日本心身医学会
Abstract	「抄録」 : 有経女性に比較的高頻度に認められる月経随伴症状のうち器質的異常を伴わないものは, 月経期に出現する機能的月経困難症と黄体期に出現する月経前症候群/月経前不快気分障害に大別される. これらは正常な排卵周期における性ホルモン変動がもたらしており, 周期的に繰り返され生活の質に悪影響を及ぼす. 両者の症状発現のメカニズムは異なるが, 低用量エストロゲン-プロゲスチン配合薬という共通の治療薬が有効である. 子宮内膜症を含む月経関連疾患は少産化, 晩産化という女性のライフスタイルの変化によって顕著になった現代病であるともいえ, 女性の心身の健康増進のためには「月経は我慢するのではなくコントロールするもの」という意識改革と現代のライフスタイルに見合ったヘルスケアが求められている.
Practice	臨床医学：内科系
Keywords	月経困難症, 月経前症候群, 月経前不快気分障害, 経口避妊薬, 低用量エストロゲン-プロゲスチン配合薬, dysmenorrhea, premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD), oral contraceptives (OC), low dose estrogen-progestin (LEP)

English

Title	Menstruation-associated Symptoms : Primary Dysmenorrhea and Premenstrual Syndrome/Premenstrual Dysphoric Disorder
Subtitle	Special Issues / Awareness of Menstrual Symptoms Essential for Healthcare Professionals of Psychosomatic Medicine
Authors	Miho Egawa*
Authors (kana)
Organization	*Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine
Journal	Japanese Journal of Psychosomatic Medicine(Tokyo)
Volume	60
Number	6
Page	515-520
Year/Month	2020 /
Article	Report
Publisher	Japanese Society of Psychosomatic Medicine
Abstract	[Abstract] Menstruation-associated symptoms which are not caused by any organic lesions are classified into primary dysmenorrhea and premenstrual syndrome/premenstrual dysphoric disorder (PMS/PMDD). The former occurs during the menstrual flow and the latter during the luteal phase of the menstrual cycle. Both of them are repeatedly induced by hormonal fluctuations of the normal ovulatory cycle, affecting the quality of life of reproductive-aged women. Low dose estrogen-progestins are effective options for primary dysmenorrhea as well as PMS/PMDD, while the etiology is different between them. Menstruation-associated diseases, including endometriosis, are regarded as "modern diseases" that have been brought about by the changes in women's lifestyle toward the decline in birthrates. To promote the mental and physical health of reproductive-aged women, they should be aware that they can control menstruation instead of enduring it and be provided with healthcare measures in modern style.
Practice	Clinical internal medicine
Keywords	dysmenorrhea, premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD), oral contraceptives (OC), low dose estrogen-progestin (LEP)

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